Table 7.

B- and C-findings.

B-Findings = Indication of high burden of MCs, and expansion of the genetic defect into various myeloid lineages without impairment of organ function
 B = Borderline Benign 
    1. Infiltration grade (MCs) in bone marrow > 30% in histology and serum total tryptase level > 200 ng/mL 
    2. Hypercellular marrow with loss of fat cells, discrete signs of dysmyelopoiesis without substantial cytopenias or WHO criteria for an MDS or MPD 
    3. Organomegaly: palpable hepatomegaly, splenomegaly, or lymphadenopathy (on CT or US: > 2 cm) without impaired organ function 
C-Findings = Indication of impaired organ function due to MC infiltration (has to be confirmed by biopsy in most cases)
 C = Consider Cytoreduction 
    1. Cytopenia(s): ANC < 1000/μL or Hb < 10 g/dL or Plt < 100,000/μL 
    2. Hepatomegaly with ascites and impaired liver function 
    3. Palpable splenomegaly with hypersplenism 
    4. Malabsorption with hypoalbuminemia and weight loss 
    5. Skeletal lesions: large-sized osteolyses or/and severe osteoporosis causing pathologic fractures 
    6. Life-threatening organopathy in other organ systems that is definitively caused by an infiltration of the tissue by neoplastic MCs 
B-Findings = Indication of high burden of MCs, and expansion of the genetic defect into various myeloid lineages without impairment of organ function
 B = Borderline Benign 
    1. Infiltration grade (MCs) in bone marrow > 30% in histology and serum total tryptase level > 200 ng/mL 
    2. Hypercellular marrow with loss of fat cells, discrete signs of dysmyelopoiesis without substantial cytopenias or WHO criteria for an MDS or MPD 
    3. Organomegaly: palpable hepatomegaly, splenomegaly, or lymphadenopathy (on CT or US: > 2 cm) without impaired organ function 
C-Findings = Indication of impaired organ function due to MC infiltration (has to be confirmed by biopsy in most cases)
 C = Consider Cytoreduction 
    1. Cytopenia(s): ANC < 1000/μL or Hb < 10 g/dL or Plt < 100,000/μL 
    2. Hepatomegaly with ascites and impaired liver function 
    3. Palpable splenomegaly with hypersplenism 
    4. Malabsorption with hypoalbuminemia and weight loss 
    5. Skeletal lesions: large-sized osteolyses or/and severe osteoporosis causing pathologic fractures 
    6. Life-threatening organopathy in other organ systems that is definitively caused by an infiltration of the tissue by neoplastic MCs 

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